Pediatric observational priority score and early warning scoring system to predict admission status in pediatric patients in Haji Adam Malik general hospital

Abstract

BACKGROUND: Doctors must be able to quickly and accurately assess clinical condition of patients, especially in the emergency rooms. An easy scoring system but producing meaningful clinical conclusions is the reason for creating various scoring systems. It includes a scoring system for predicting the admission status of patients. AIM: The aim of the study was to determine the diagnostic value of pediatric observational priority score (POPS) and early warning scoring system (EWSS) to predicting admission status of pediatric patients in the emergency department. METHODS: Diagnostic tests for POPS and EWSS were done to predict the admission status of pediatric patients in the emergency department of Haji Adam Malik general hospital from May to October 2020. Subjects aged 1 month–18 years were excluded if they left the emergency department before assessment, had trauma cases, died, inpatients due to social indications, and patients who came only to continue therapy were also excluded from the study. POPS and EWSS assessments were carried out by the researcher and the admission status of the patients was determined by the doctor in charge in the emergency department. RESULTS: There were 119 children meeting the inclusion and exclusion criteria. POPS score ≥3 had sensitivity 82.65%, specificity 85.71%, and area under curve (AUC) 0.88 (p < 0.001). EWSS score ≥2 had sensitivity 83.67%, specificity 71.43%, and AUC 0.83 (p < 0.001). CONCLUSION: POPS and EWSS had good diagnostic values in predicting the admission status of pediatric patients in the emergency department. POPS has a slightly higher diagnostic value than EWSS.